VQOL PRIMARY CARE PHYSICIAN NPI 1083045918

NPI Information

VQOL PRIMARY CARE PHYSICIAN is a primary care clinic center in Lady Lake, FL. VQOL PRIMARY CARE PHYSICIAN NPI is 1083045918. The provider is registered as an organization entity type.

The provider's business location address is:

8550 NE 138TH LN STE 102
LADY LAKE, FL
ZIP 32159-816
Phone: (352) 314-2922

The provider's authorized official is Claude Danois .
The authorized official title is President and has the following contact phone number (352) 314-2922.

The CLIA number assigned to this NPI record is 10D2081939 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2013 and was last updated on 4/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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